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CHAIK�OF CUSTODY RECO; <br /> Tel.(916)325-2580 <br /> FAX(916)325-2570 <br /> SAMPLE ignature <br /> ROGER FOOTTIASSOCIATES, INC. <br /> 1450 Harbor Blvd,Suite G <br /> Phone: 3,2 57 a Sacramento.CA 95691 <br /> LABORATORY: / SHIPPING INFORMATION : <br /> Shipper <br /> Address <br /> Date Shi ped <br /> TURNAROUND TIME: f w�c Service Used <br /> Attention: Airbill N). Cooler No. <br /> Phone No. <br /> Relines d by: (si stur Received by:(si(signatures) Date Time <br /> R 'ved for laktatory by: 15%-Lai <br /> LABORATORY SHOULD_ SIGN UPON RECEIPT AND RETURN A COPY OF THIS FORM WITH THE <br /> LABORATORY RESUL S <br /> Sample Site Date Analyses Sample Condition <br /> No. Identification Sampled Requested Upon Receipt <br /> uJa 'l l/7- Pb !cco <br /> Zn CP P-3v� <br /> If Li T 'C413 <br /> 7-cb!4_ <br /> i <br />